Active NPI
Katrina Kneeskern
- Physical Therapist
- Cupertino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0012409
- Practice address
- 20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112 - Phone
- (408) 252-6076
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9902 | MN | |
| Physical Therapist | 225100000X | 0012409 | CO | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT41184 | CA |
Addresses
Primary practice location
20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Mailing address
335 W South Boulder Rd
Ste 1
Louisville, CO 80027-1192
Phone (303) 954-8423
Other practice location 1
11995 Singletree Ln
Suite 120
Eden Prairie, MN 55344-5347
Phone (952) 373-5720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, CA, CO
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804004022 | MN | Practitioner - Physical Therapist in Private Practice | 7214241249 | Reassigns benefits to 2 organizations |
| I20200224003020 | CA | Practitioner - Physical Therapist in Private Practice | 7214241249 | Reassigns benefits to 1 organization |
| I20220103000580 | CO | Practitioner - Physical Therapist in Private Practice | 7214241249 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12324 Wayzata Blvd
Minnetonka, MN 55305-1919
Phone (877) 609-0123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41184 | CA | MD | Marriage & Family Therapist |
| PT41184 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 0012409 | CO | MD | Physical Therapist |
| 9902 | MN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Single Specialty | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Waypoint Minnesota PC | Single Specialty | Current | Accepting new patients |
| Colorado Luna Care Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Single Specialty | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Single Specialty | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Current | Accepting new patients |
Locations
501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782
11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720
6450 Wedgwood Rd N
Maple Grove, MN 55311
43 SE Main St
Ste 223
Minneapolis, MN 55414
Phone (612) 331-5757
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
12324 Wayzata Blvd
Minnetonka, MN 55305
Phone (528) 354-5129
5775 Wayzata Blvd
Ste 900
St Louis Park, MN 55416
Phone (952) 292-5760
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
MN, Single Specialty
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
CA, Single Specialty
-
- Physical Therapist
- Denver, CO
- NPI 1891461125
CO, Single Specialty
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
CO, Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Neurological Surgery Physician
- Wheat Ridge, CO
- NPI 1013543891
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1619356409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 W SOUTH BOULDER RD",
"address_2": "STE 1",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271192",
"telephone_number": "303-954-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20823 STEVENS CREEK BLVD STE 200",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142112",
"telephone_number": "408-252-6076"
}
],
"practiceLocations": [
{
"address_1": "11995 Singletree Ln",
"address_2": "SUITE 120",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553445347",
"country_code": "US",
"telephone_number": "952-373-5720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNEESKERN",
"first_name": "KATRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "9902",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CO",
"license": "0012409",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT41184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.